THOMAS JONATHAN FOUTZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

JONATHAN

Last Name

FOUTZ

Business Name

THOMAS JONATHAN FOUTZ MD

Original Issue Date

11/17/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

FENTON

State

Zip

63026

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023